Although rhinoplasty is nowadays a frequently performed intervention, it is still a most complex procedure in facial plastic surgery, due to the crucial issue of careful nasal septum management and related nasal obstructions. Thought as a go-to resource and resulting from the author’s/editor’s lifelong surgical practice and research work, this carefully crafted volume covers the topic of nasal septum management in its entirety, supporting the reader with a wealth of full colour original illustrations and drawings. Each chapter is also enriched by surgical videos to foster the reader’s understanding and preparation of practical steps and best choices, offering direct support in the operating room. The chapters move from the history of nasal septum management and the examination of the necessary surgical anatomy to the preoperative nose examination and planning. The following chapters on the classification of septal deviation and the review of the different incisions and approaches bring to the examination of the traditional surgical methods (SMR, Cottle, Subtotal, extracorporeal). The contents then illustrate caudal septal deflections and a number of specific deviations in related chapters (dorsal, dorso-caudal and bony deviations). A particular chapter is devoted to dorsum preservation and nasal septum, the event of septal perforation, as well as ancillary procedures and packing and splinting. Septal Surgery Challenges in Rhinoplasty is especially thought for residents and specialists in the field of otorhinolaryngology and plastic surgery, who desire to consolidate their management skills in this demanding yet inspiring field of surgery.